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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Anxiety And Stress With Heart Burn?

I AM A 28 Y.O. FEMALE. I WAS DIAGNOSED WITH GRAVE'S DISEASE ABOUT A YEAR AGO. I WAS PUT ON TAPAZOLE AND NADOLOL. I GAINED QUITE A BIT OF WEIGHT SO MY DR. TOLD ME TO STOP TAKING THE TAPAZOLE AND JUST TAKE THE NADOLOL AS NEEDED FOR RAPID HEART BEAT. I WAS DOING REGULAR MONTHLY BLOODWORK BUT MY DR. WORKS AT A VERY BUSY CLINIC AND NEVER TELLS ME MY RESULTS. MY PROBLEM TODAY IS THAT I'M HAVE VERY SHARP CHEST PAINS. I TOOK SOME PREVACID IN CASE IT WAS HEARTBURN BUT IT'S NOT SEEMING TO GO WAY. THE PAINS COME AND GO RANDOMLY. I'VE BEEN FEELING ANXIOUS AND STRESSED A LOT LATLEY. I DON'T KNOW IF I SHOULD JUST FIND A NEW DR. OR GO TO THE E.R.?!? ANY ADVICE WOULD BE APPRECIATED.
Thu, 6 Nov 2014
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Psychiatrist,  's  Response
Hello Welcome to HCM

Graves disease is characterised by hyperthyroidism. Tapazole is an antithyroid drug and Nadolol is beta blocker drug. You have been advised to not take Tapazole and to continued with Nadolol. Nadolol is the drug which only controls symptoms related to hyperthyroidism or anxiety.
One possibility for your symptoms is increased levels of thyroid hormones. Get your reports checked again and if needed request your doctor to start some anti-thyroid drug again.
The sharp chest pain could occur due to severe anxiety. Increased activity of thyroid results in severe anxiety like chest pains, epigastric discomfort, tremors, palpitations, sweating etc symptoms. Though nadolol help to control some symptoms but for proper relief other anti-anxiety medicines are needed.

Medicines like Clonazepam, Alprazolam in low dose can help to control anxiety. Consult a Psychiatrist for expert opinion. There is no need to go to emergency room.

Thanks
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What Causes Anxiety And Stress With Heart Burn?

Hello Welcome to HCM Graves disease is characterised by hyperthyroidism. Tapazole is an antithyroid drug and Nadolol is beta blocker drug. You have been advised to not take Tapazole and to continued with Nadolol. Nadolol is the drug which only controls symptoms related to hyperthyroidism or anxiety. One possibility for your symptoms is increased levels of thyroid hormones. Get your reports checked again and if needed request your doctor to start some anti-thyroid drug again. The sharp chest pain could occur due to severe anxiety. Increased activity of thyroid results in severe anxiety like chest pains, epigastric discomfort, tremors, palpitations, sweating etc symptoms. Though nadolol help to control some symptoms but for proper relief other anti-anxiety medicines are needed. Medicines like Clonazepam, Alprazolam in low dose can help to control anxiety. Consult a Psychiatrist for expert opinion. There is no need to go to emergency room. Thanks